输卵管结核临床X线诊断

目的：研究子宫输卵管造影对输卵管结核诊断价值及X线的特征性征象分析。材料与方法：对84例输卯管结核行子宫输卵管造影检查，使用76％复方泛影葡胺。结果：和北京妇产科医院李梦鹤对输卵管结核9种类型相符合73例；总结重新分型如下：（1）僵直型9例；（2）壶腹部呈囊状积水型7例；（3）锈铁丝型11例；（4）串珠状型9例；（5）管旁结节阴影型6例；（6）峡部梗塞型17例；（7）宫角阻塞型14例；（8）伞端呈烟斗嘴型8例；（9）输卵管阻塞合并管旁静脉返流型3例。子宫腔黏连35例占41％，静脉及淋巴管造影剂逆流13例占15％。结论：子宫输卵管造影对诊断女性生殖器结核有特征性X线表现。对发现输卵管及子宫等破坏程度可直接明确诊断。

Clinical X-ray Diagnosis on Oviduct Tubercle

Purpose:The analysis of diagnostic value of oviduct tubercle and X-ray features with radiography.Materials and Methods:Radiography examination to uterus oviduct has been conducted to 84 cases of oviduct tubercle,useing 76% compound emglumine diatrizoate injection.Results:It is in accordance with 9 types of oviduct tubercle doen by Li Menghe at Beijin Maternity Hospital:(1)9 cases of stiffness type;(2) 7 cases of small bag-shaped belly type;(3) 11 cases of rusty iron wire type;(4) 9 cases of string opoposite;(5) 6 cases of node shadow type;(6) 17 cases of block at contracted parts;(7) 14 cases of block at uterus corner;(8) 8 cases of tabacco pipe type of umberlla tip;(9) 3 cases of oviduct block and mergence,vein back flow at the side of ovidact.35 cases of cervix coherence,accountiong for 41%.13 cases of radiography plaster backflow of vein and lymph duct,accountiong for 15%.Conclusion:Radiography of uterus oviduct has characteristic X-ray performance to the diagnosis of female reproductive organ tubercle,It directly contributes to the clear diagnosis of damage degree of oviduct and uterus.